NPI | 1437417987 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL ALBERT NORD CEO, Physician Consultant 309-661-1920 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 836064021) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2012-05-02 |